Lateral medullary syndrome: Difference between revisions
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*Contralateral loss of pain and temperature sensation to body | *Contralateral loss of pain and temperature sensation to body | ||
*Ipsilateral loss of pain and temperature sensation to face | *Ipsilateral loss of pain and temperature sensation to face | ||
*Dysphagia, soft palate paralysis, hoarseness, diminished gag reflex | *[[Dysphagia]], soft palate paralysis, hoarseness, diminished gag reflex | ||
*Ipsilateral Horner syndrome | *Ipsilateral [[Horner syndrome]] | ||
*Nausea, diplopia, patient that is falling to the ipsilateral side, | *[[Nausea]], [[diplopia]], patient that is falling to the ipsilateral side, [[nystagmus]], [[vertigo]] | ||
*Ataxia to the ipsilateral side | *[[Ataxia]] to the ipsilateral side | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Evaluation== | ==Evaluation== | ||
*See [[Stroke]] | |||
==Management== | ==Management== | ||
*See [[Stroke]] | |||
==Disposition== | ==Disposition== | ||
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==See Also== | ==See Also== | ||
*[[Stroke syndromes]] | |||
==External Links== | ==External Links== | ||
Latest revision as of 03:43, 3 October 2019
Background
- Also known as Wallenberg syndrome, PICA syndrome
- Caused by occlusion of the posterior inferior cerebellar artery (PICA)
- Can also be caused by occlusion of the vertebral artery at the origin of PICA
Clinical Features
- Contralateral loss of pain and temperature sensation to body
- Ipsilateral loss of pain and temperature sensation to face
- Dysphagia, soft palate paralysis, hoarseness, diminished gag reflex
- Ipsilateral Horner syndrome
- Nausea, diplopia, patient that is falling to the ipsilateral side, nystagmus, vertigo
- Ataxia to the ipsilateral side
Differential Diagnosis
Evaluation
- See Stroke
Management
- See Stroke